Skilled Migration Services
ANMAC helps protect the health and safety of the Australian Community through our roles as:
- the external accreditation entity, appointed by the Nursing and Midwifery Board of Australia (NMBA) to accredit nursing and midwifery programs that lead to eligibility to apply for registration or endorsement with the NMBA, under Australia’s National Registration and Accreditation Scheme
- the approved and independent assessing authority, authorised by the Department of Home Affairs to assess skills and qualifications of nurses and midwives seeking to migrate to Australia, under the Australian Government’s General Skilled Migration program.
Go to About ANMAC for more information.
The Nursing and Midwifery Board of Australia undertakes the following:
- registering nursing and midwifery practitioners and students
- developing practice standards, codes and guidelines for the nursing and midwifery profession
- handling notifications, complaints, investigations and disciplinary hearings
- assessing overseas trained practitioners who wish to practise in Australia
- approving accreditation standards and accredited programs of study
The Department of Home Affairs is responsible for immigration to Australia and will assess your application for a visa to migrate.
Australian and New Zealand Standard Classification of Occupations (ANZSCO) are codes applied to occupations for statistical purposes. These codes are used by the Department of Home Affairs in the skilled visa program.
The Australian Health Practitioner Regulation Agency, conducts the assessment for registration on behalf of the Nursing and Midwifery Board of Australia.
Before you apply for a skills assessment
Do I need a skills assessment?
Information on visa requirements is available on the Department of Home Affairs website under each visa type. It is important to check what visa requirements affect you before applying to ANMAC for a skills assessment.
You only need to have your qualifications and skills assessed by ANMAC if you are migrating to Australia under the General Skilled Migration program to work as a nurse or midwife. Check with the Department of Home Affairs if you need a skills assessment before you apply for your visa.
ANMAC does not find employment for nurses or midwives or provide them with information or advice on employment opportunities, including where or how you can find work.
ANMAC does not provide nurses or midwives with information on employer sponsorship. Contact employers and nursing or midwifery agencies to find out about this. For more information visit the Department of Home Affairs.
If you hold registration as a registered nurse, enrolled nurse or midwife in Australia and/or New Zealand and your name appears on Ahpra’s online public Register of practitioners you may qualify for a Modified skills assessment.
If you do not hold current registration in Australia and/or New Zealand but have a 'Notice of in principle approval of registration subject to proof of identity' letter from Ahpra you may qualify for a Modified PLUS skills assessment.
If you are a registered nurse in the Canada, Hong Kong, Ireland, the United Kingdom or the United States and also have a minimum Bachelor of Nursing qualification from that country then you may qualify for a Full skills assessment.
If you are a registered midwife from Canada, the United Kingdom or Ireland and have a minimum Bachelor of Midwifery qualification from that country then you may qualify for a Full skills assessment.
Go to application options. Select the option that applies to your situation and then follow the instructions.
The documents required for each assessment type differ.
All applicants must provide
- verification of overseas registration. Also known as a certificate of good standing, this should be arranged for every country or jurisdiction where you would like you paid work experience to be assessed, and can be emailed to firstname.lastname@example.org. Where email is unavailable the relevant authority can post the verification directly to ANMAC.
- proof of identity:
- bio-statistical page(s) of passport
- change of name documents (marriage certificate, decree nisi, deed poll)
- a passport-sized photograph taken in the last 6 months
- graduation certificate, include commencement and completion dates
- professional references (58 Kb) that supports your work as a paid nurse or midwife. This is only a requirement if you require points recognition from the Department of Home Affairs.
Full applicants must also provide
- English language test results - include the test number and date of test completion.
- transcripts of training, include commencement and completion dates, as well as theory and practice hours. If the university cannot provide this information, ANMAC will accept a copy of the syllabus emailed by the University directly to email@example.com.
- professional references supporting a minimum 3 months paid work experience as a nurse or midwife.
ANMAC may ask for extra information and/or documentation to assist in the assessment process.
A verification of registration, or certificate of good standing letter, confirms that your registration is valid and that you have no issues against your practice as a nurse and/or midwife. The nursing and midwifery councils responsible for registering nurses and midwives in each country or jurisdiction can provide this information.
Please ask the regulatory authority to post or email a verification of registration or certificate of good standing letter directly to our office via before applying to ANMAC for a migration skills assessment. We cannot accept a photocopy, fax or scanned copy of the letter from you or any other source.
Once received, we keep your verification of registration or certificate of good standing letter on file and will match it to your application when processing.
ANMAC no longer requires registration of verification from Ahpra. Our assessors will verify your Australian registration status online.
All applications remain open for 12 months from the date that you applied online. If you do not submit documents within the 12 months, your application will expire. A refund will not be provided and if you need a skills assessment in the future, you will be required to apply for a new assessment.
All supporting documents uploaded for your Migration Skills Assessment must meet these minimum scanning requirements:
- original documents only (certified documents will not be accepted)
- scanned in colour
- scanned at a resolution of 600 dpi (dots per inch) or above.
- file must be a .pdf
The passport sized photo must be a .jpeg, .jpg or .png. You may need to change the settings of the scanner to meet these requirements.
ANMAC does not accept documents that have been uploaded using CamScanner (or similar) software.
After you have uploaded your documents in the online portal, please make sure you scroll down the page and select ‘save’. This will ensure your documents reach the assessment team.
The assessment for registration is separate to the assessment for skilled migration. The assessment for registration is conducted by the Australian Health Practitioner Regulation Agency (Ahpra) on behalf of the Nursing and Midwifery Board of Australia. You need to submit an application to Ahpra for assessment for registration and meet the requirements for registration.
If you hold current registration as a registered nurse, enrolled nurse or midwife your name will appear on Ahpra's online public Register of Practitioners
English Language Test
Modified skills assessment applicants
If you are applying for a Modified skills assessment you do not need to provide English language test results. This means you are registered with:
MODIFIED PLUS SKILLS ASSESSMENT
If you are applying for a Modified PLUS skills assessment you do not need to provide English language test results. This means you have a 'Notice of in principle approval of registration subject to proof of identity' letter from AHPRA.
Full skills assessment applications
All internationally-qualified nurses and midwives without Australian or New Zealand registration (regardless of country of birth) are required to provide English language test results.
Australia’s official language is English and it is important that healthcare professionals working here are proficient in English (reading, speaking, writing and listening). This enables nurses and midwives to communicate competently and safely with patients and their families, colleagues and other health professionals.
You must demonstrate achievement of the specified minimum scores from ONE of the following English language tests – no other types of English language tests are accepted.
- ANMAC accepts test results that are up to two years old
- Scores from two different tests cannot be combined.
- International English Language Testing System (IELTS) Academic test.
- Applicants must achieve a minimum overall score of 7 and a minimum score of 7 in each of the 4 components - listening, reading, writing and speaking.
- ANMAC only accept test results from one test sitting OR a maximum of two test sittings, in a six-month period only if the applicant achieves:
a) a minimum overall score of 7 in each sitting
b) no score in any component of the test is below 6.5
- Occupational English Test (OET) for nurses.
- Applicants must achieve a minimum score of B in each of the 4 components - listening, reading, writing and speaking.
- ANMAC only accept test results from 1 test sitting OR a maximum of 2 test sittings, in a 6 month period only if the applicant:
a) is tested in all 4 components in each sitting
b) no score in any component of the test is below C
- Pearson Test of English (PTE) Academic.
- Applicants must achieve a minimum overall score of 65 AND a minimum score of 65 in each of the 4 communicative skills - listening, reading, writing and speaking.
- ANMAC only accept test results from 1 test sitting OR a maximum of 2 test sittings, in a 6 month period only if the applicant achieves:
a) a minimum overall score of 65 in each sitting
b) no score in any of the four communicative skills is below 58
- Test of English as a Foreign Language (TOEFL) iBT.
- Applicants must achieve a minimum total score of 94 AND the following minimum score in each section of the test - 24 listening, 24 reading, 27 writing, 23 speaking
- ANMAC only accept test results from 1 test sitting, OR a maximum of 2 test sittings in a 6 month period only if the applicant achieves:
a) a minimum total score of 94 in each sitting
b) no score in any of the sections is below - 20 listening, 19 reading, 24 writing, 20 speaking
ANZSCO codes and professional references
The ANZSCO code you select depends on your individual circumstances, the visa you are applying for and your relevant work experience.
Your ANZSCO code should reflect your work experience and, generally, your most recent area of work experience. If you do not have work experience, you should select the 254499 Registered Nurse (Not Elsewhere Classified) code.
If you nominate a specific ANZSCO code (other than 254499 Not Elsewhere Classified), you must provide a professional reference that supports a minimum 3 months paid work experience in this area within the last 5 years.
On official letterhead your professional references need to provide:
- your dates of employment
- your areas of experience
- a statement about your professional competence and safety as a nurse or midwife
- examples of your professional competence as a nurse or midwife (the day to day activities you undertake) related to the tasks required for your ANZSCO code
- details of continuing professional development
- signature of the referee (electronic signatures are not acceptable).
Your referee needs to date their original letter and include their name, position and contact details. The contact details should include an official email address.
ANMAC does not accept emails from free web-based email accounts.
ANMAC has a template (58 KB) and information in ‘Resources’ that explains the requirements. If your professional references do not meet our requirements, we cannot accept the reference.
You should use the person who directly manages or supervises you. This person must be a nurse, midwife or clinical supervisor. If your direct supervisor is not a nurse or midwife, a statement to this effect should be included in the reference. We do not accept references from Human Resources or Payroll departments.
Nurses or midwives who work for an agency need to provide a:
- service statement from the agency detailing employment dates and number of hours worked.
- a professional reference from an institution where you regularly work that meets ANMAC's professional reference requirements (58 KB).
If you would like ANMAC to report on your work for points recognition by the Department of Home Affairs you will need to submit professional references that meet ANMAC criteria. You must have a minimum 1 year paid work in Australia and/or a minimum of 3 years paid work overseas.
Work experience will not be considered if there is no corresponding nursing registration in that jurisdiction at that time.
During your assessment
After your assessment
You can log into the ANMAC portal and request a re-issue. You will need to pay $125 and upload a professional reference written by a nursing supervisor that supports your work experience claim. Please ensure your letter of determination (LOD) is valid for at least 3 months. ANMAC cannot extend the validity period of your LOD and the Department of Home Affairs will not accept an expired LOD.
Please call ANMAC between 10am and 4pm (AEST) on +61 2 6257 7960 to discuss your options with the assessment team.
Yes, if you would like to change your nominated ANZSCO code you can log into the ANMAC portal and request a re-issue. You will need to pay $125 and upload a professional reference that supports your work in an area that relates to the new ANZSCO code (a minimum 3 months is required). Please ensure your letter of determination (LOD) is valid for at least 3 months from the date you request a re-issue. ANMAC cannot extend the validity period of your LOD and the Department of Home Affairs will not accept an expired LOD.
Please also note that a re-issue does not mean that you have 2 valid outcome letters with 2 different codes - the original LOD will not be valid once ANMAC has finalised the re-issue.
If there is an error on your Letter of Determination please call ANMAC between 10am and 4pm (AEST) on +61 2 6257 7960 to discuss the error with the assessment team. Alternatively, you can email firstname.lastname@example.org and await a response.
Yes, you can. To appeal ANMAC’s decision follow these steps:
- Contact us with your:
- full name
- date of birth
- reference number
- the reason you are appealing.
You must email ANMAC within 30 days of the date on your Letter of Determination.
ANMAC will acknowledge your email and ask for payment of the appeals fees, as per the fee schedule on our website, prior to progressing your application. ANMAC only accepts payments by VISA or MasterCard.The appeals process is governed by the SMS Appeals Policy (193 KB). For more information go to Internal Review on our website.
You will need to wait 2 years from the date the determination was made. This date can be found on the determination letter issued by ANMAC.
All determination letters issued by ANMAC are valid for 2 years from the date the determination was made. This date cannot be extended.
If your determination letter is expiring you will need to apply for a new skills assessments using a different email address to create new access to the ANMAC portal.
Determination letters are valid for 2 years from the date of issue. This date cannot be extended. You will need to apply for a new assessment if your letter has expired.
ANMAC can re-issue your letter only if it is valid for more than 3 months (12 weeks) from the date of request. ANMAC will only re-issue your letter to add work experience or change an ANZSCO code. The validity period of your letter is not extended if you apply for a re-issue.
View video on how to make an online request to re-issue a determination letter.
Part of ANMAC’s role is to monitor education providers and deal with complaints. If you have a concern with the program you are enrolled in, or a concern with your education provider, your first step is to address that concern with the education provider by following their policy on complaints. If you believe that your complaint has not been addressed after taking this first step, please contact us. ANMAC can only address complaints in relation to the relevant accreditation standard of the program. If possible, when writing to ANMAC about your complaint, please reference the standard and criteria you believe are involved.
If your complaint is not within ANMAC’s scope, you can refer your complaint to the Overseas Student Ombudsman who provides the following functions:
- can investigate complaints about problems that intending, current or former overseas students have with private schools, colleges and universities (education providers) in Australia
- provides information about best practice complaints handling to help private education providers manage internal complaints effectively
- publishes reports on problems and broader issues in international education that we identify through investigations.
Part of ANMAC’s role is to monitor education providers and manage complaints. If you have a concern with the program you are enrolled in, or a concern with your education provider, the first step is to address that concern with the education provider by following their policy on complaints.
If you believe that your complaint has not been addressed after taking this step, please refer to Complaints on our website for information on how to make a complaint to ANMAC.
For general information about the status of your nursing or midwifery registration or endorsement contact the Nursing and Midwifery Board of Australia (NMBA). If you have further questions on registration or endorsement, including return-to-practice requirements, please contact the NMBA.
You can find out by visiting the Approved programs of study list on the Nursing and Midwifery Board of Australia (NMBA) website. If the program you want to enrol in is not on this list, it has not been accredited by ANMAC or approved by the NMBA and may not lead to eligibility to apply for registration as a nurse or midwife in Australia.
ANMAC accreditation assessment takes approximately 9-12 months. The process can take longer depending on the quality of the submission and the NMBA review is approximately one month. For more information please refer to Program accreditation on our website.
When preparing for program accreditation, factor into your project plan the expiry date of your current NMBA approved program of study, time needed for new program development and submission preparation, as well as time for your organisation’s program approval process.
Yes, each program requires its own site visit. In part this is because the assessment team needs to meet with the education provider for a face-to-face discussion and assess each program’s resources and delivery.
The Program Monitoring Report (PMR) is completed annually and is used to confirm program delivery continues to meet the relevant accreditation standards and to facilitate reporting of program changes that do not require prospective notification. PMRs are due on the anniversary date of your program’s NMBA approval. One month prior to this date, we will email you the PMR template to complete.
Complete an Intention to Submit (219 KB) form and email to email@example.com. On receipt of this form, ANMAC will contact you to provide advice on required documentation and process timeframes.
Yes, education providers need to notify ANMAC of changes to approved programs. Some program changes require you to prospectively notify ANMAC so that an assessment of the change can be undertaken prior to implementation by the education provider.
Yes, however you must include a clear note in your advertisement that the program of study is subject to accreditation by ANMAC and approval by the NMBA.
Following the site visit, the Associate Director Accreditation Services (AD) provides you with a site visit report identifying if you need to provide further evidence. The AD will give you timeframes for doing so. You can discuss and clarify outstanding issues with the AD as required.
The accreditation standards for nurses, midwives and nurse practitioners all require that an education provider demonstrates suitable resources to run the proposed program. The assessment team therefore needs to conduct a site visit to ensure the education provider has adequate resources for the anticipated number of students to be enrolled. The assessment team needs to see evidence of teaching spaces, nursing or midwifery laboratory spaces and equipment, student services and support services. The assessment team also interviews students and industry partners, preferably face-to-face.
The outcome of the assessment team’s initial review of your program forms the Draft Collated Review and is the basis of the agenda ANMAC sends to you before our site visit. The Associate Director Accreditation Services is responsible for providing updates and communicating information on your assessment process, such as the outcomes of assessment team meetings or site reviews.
Yes. If you believe there is a real or perceived conflict of interest with a nominated assessment team member you should write to the Director Accreditation Services, within 3 business days, at firstname.lastname@example.org outlining your objection. If we do not hear from you within this timeframe the assessment team will remain as nominated.
Your contact is the Associate Director Accreditation Services assigned to coordinate your accreditation process. The director will liaise with you on all matters relating to your application and assessment process.
Initial submission—1 electronic (USB or Cloud-based link)
You need to submit 1 electronic copy (UBS or Cloud-based link, such as DropBox) for the preliminary review by the assigned Associate Director Accreditation Services (AD).
Final submission—1 electronic copy (USB or Cloud-based link)
After the site visit the AD will ask you to provide a final submission. This updated submission must include all additional evidence requested by the assessment team. One electronic copy is required. Once your program is accredited, you need to provide ANMAC with a final electronic copy of your submission on USB or via Cloud-based link, such as DropBox. This copy is kept on file as your accredited program.
All programs leading to registration or endorsement must be first accredited by ANMAC's Board and approved as a qualification for registration by the NMBA before students can enrol into the program. Students who are applying to undertake a program of study leading to a qualification that enables graduates to register or be endorsed as nurses or midwives, must be advised of the accreditation status of the program prior to enrolling. The students must be assured that they will be able to complete an approved course of study leading to registration or endorsement.
Yes. It is mandatory to use ANMAC’s application pack (forms, checklists and templates). Each qualification has its own template which address the relevant standards and criteria for a nursing and midwifery education programs. If you do not use the correct forms, checklists and templates, we cannot progress your application for accreditation and will experience delays. ANMAC will provide the appropriate application pack with the Accreditation Schedule approximately 18 months before the expiry date of the approved program.
Yes. However, all advertising material used to inform potential students will need to include the notation: ‘This program of study is not yet accredited by ANMAC or approved by the NMBA and will not lead to registration as a nurse or midwife in Australia under the approved qualification pathway, National Law Section 53a.’
Students must not be enrolled into a program until it is accredited by ANMAC and approved by the NMBA. Approved programs appear on the NMBA Approved programs of study list.
Education providers can choose to plan, develop and acquire the necessary resources to offer a program of study before receiving accreditation from ANMAC, however, this is at their own risk.
No. Students must not be enrolled into a program until it is accredited by ANMAC and approved by the NMBA, as indicated by inclusion on the NMBA Approved program of study list
It is at their own risk that education providers choose to plan, develop and acquire resources to offer a program of study before receiving ANMAC accreditation and NMBA approval.
No. Enrolment of students can only commence once the program appears on the NMBA Approved Program of Study list. Graduates from programs appearing on this list will be eligible to apply for registration or endorsement as a nurse or midwife in Australia. Potential students must be informed of the program’s ANMAC accreditation status and NMBA approval status in all advertising material and prior to enrolment.
The ANMAC accreditation assessment generally takes from 9 to 12 months depending on submission quality and education provider responsiveness. The start of the ANMAC accreditation assessment is the assessment phase. It requires the education provider to submit a completed application pack, completed ANMAC templates, supporting documentation and payment of the accreditation assessment fee. It concludes when the NMBA are notified of the ANMAC accreditation decision. Time taken by the NMBA to approve a program of study is separate to and excluded from ANMAC’s accreditation timeframe.
When preparing for program accreditation, factor into your project plan the expiry date of your current NMBA approved program of study, time needed for new program development and submission preparation, as well as time for your organisation’s program approval process.
Prior to submission of your completed documentation and accreditation assessment fee, please liaise with our administrative staff via email@example.com. Your assigned Associate Director (AD) will contact you once the assessment phase of accreditation commences. You are then encouraged to liaise directly with your AD until the review of your program is completed by the assessment team and presented to the relevant accreditation committee.
When submitting documentation during the accreditation process, please direct your emails to firstname.lastname@example.org (for filing purposes) and CC your Associate Director.
Yes. You can decline a nominated assessment team member only if you believe there is a real or perceived conflict of interest. You must email your objections to Accreditation Services, within 3 business days, via email@example.com. If we do not hear from you within this timeframe the assessment team will remain as nominated.
Yes. It’s mandatory to use ANMAC’s application pack, forms, checklists and templates. The documents are designed to help you address criteria requirements in the accreditation standards specific to your type of program. ANMAC will provide you with the correct application pack and latest templates on receipt of your completed Intention to Submit form. Please note our forms and templates undergo regular quality improvements and it is important to use the most up-to-date documents so that your application is progressed without delay.
You can send all electronic submissions to ANMAC using a Cloud-based link to the document, such as DropBox. Please ensure any documents submitted throughout the accreditation process are also sent to firstname.lastname@example.org.
You will be emailed reports collating the team’s assessment of submitted evidence, including the:
- Collated Review Report incorporating outcomes from the team’s initial meeting and any further evidence requests
- Site Visit Report summarising outcomes from the team’s site visit and any further evidence requests
- Outcome of Accreditation Assessment Report outlining the team’s accreditation recommendations to be presented to the relevant accreditation committee.
You are encouraged to liaise with your AD if you require information or clarification about assessment team responses or about ANMAC accreditation assessment processes.
Yes. Posted on our website is a note on English language skills requirements that provides responses to frequently asked questions about English language skills admission requirements for entry to practice registered and enrolled nurse programs.
- Prospective students seeking admission to NMBA approved registered nurse and enrolled nurse programs must sign a declaration stating their primary language is English OR provide valid English language test results as specified in the NMBA English language skills registration standard.
- Please refer to our glossary for a definition of ‘primary language’.
For more information, please contact email@example.com
ANMAC will contact you as vacancies for teams requiring your skills and qualifications arise. If you are contacted by ANMAC to be part of an assessment team, it is important you respond as soon as possible, so there are no delays in assessment team assembly.
Please notify ANMAC on firstname.lastname@example.org if your contact details have changed.
No. ANMAC needs you to review submissions independently and not discuss your views or work with other members of the assessment team until the first team meeting is held to exchange views and collate outcomes. For more information, please refer to the ANMAC Assessor handbook. If you have questions when part of an assessment team, please contact your assigned Associate Director.